Beruflich Dokumente
Kultur Dokumente
meetingthe85%test,check
hereandattachcomputation ..,
=~ D
I Fairmarketvalueof all assetsat endof year J Accounting method. ~ Cash Accrual LJ E If privatefoundaltonstatuswasterminated
...D
(fromPartII, column(c), /me16) D
Other(specify) ______________
underseclton507(b)(l)(A),checkhere
~
184. 184.
~r
E operating and administr~
s 4 837. 3 453. 1,384.
njlt ~d~llS ~~OUf IQ
25 263 300. 263 300.
26 "otJ,b~xp;n~~~ ~~d~i~u!
>.ddltll8.S,24i'8Cl~ ! I I ir 268,137. 3,453. 0. 264 684.
27 :iubtrcki 1ir.Thl26'>fr.om
lin'e'l 2:
a xcess or revenue over expenses
and disbursements 1,559,524.
b Netinvestment
income(1fnegative,enter O) 254 208.
C Adiustednetincome(If negative,
enter O)
BAA For Privacy Act and Paperwork Reduction Act Notice, see the instructions. TEEA0503L 09/19/05
257,661.
F0<m 990-PF (2005) lq
Form 990-PF (2005) THEMILSTEINFAMILYFOUNDATION 95-4824595 Paqe 2
Attached schedules and amounts ,n the description Beginning of year End of year
!Panll j Balance Sheets column should be for end of year amounts only
(a) Book Value (b) Book Value
(See instructions ) (c) Fair Market Value
,, 1 Cash - non-interest-bearing 31 078. 22,323. 22,323.
2 Savings and temporary cash investments 16,060. 15,726. 15,726.
Accounts receivable ~
3
-----------
Less. allowance for doubtful accounts ~
4 Pledges receivable ~
----------
-----------
Less, allowance for doubtful accounts ~
----------
5 Grants receivable
6 Receivables
duefromofficers,directors,trustees,andother
d1squalif1ed
persons(attachschedule)(seeinstructions}
7 Othernotesandloansreceivable(attachsch} ~
A
Less. allowance for doubtful accounts ~
-----------
s
s 8 Inventories for sale or use
----------
e
9 Prepaid expenses and deferred charges
t
s 10a Investments - US. and state government
obligations (attach schedule) .
b Investments
- corporate
stock (attachschedule) 3,455,801. 4,474,117. 4,832,042.
c Investments
- corporate
bonds(attachschedule) 709,934. 759,752. 760,906.
11 Investments - land, buildings, and
~
equipment basis
Less:accumulated deprec1at1on
-----------
(attachschedule)
. ~
----------
12 Investments - mortgage loans 500,000. 500,000. 500,000.
13 Investments - other (attach schedule) 500,105. 1,000,584. 1,133,914.
14 Land, bu1ld1ngs,and equipment basis~
Lessaccumulated depreciation
-----------
~
(attachschedule)
15 Other assets (describe ~
---------- )
16 Total assets (to be completed by all filers -
see 1nstruct1ons.Also, see page 1, item I) 5,212,978. 6,772,502. 7,264,911.
L 17 Accounts payable and accrued expenses.
i
a 18 Grants payable
b 19 Deferred revenue
i
I 20 Loansfromofficers,directors,trustees,
& otherd1squal1f1ed
persons
i 21 Mortgagesandothernotespayable (attachschedule)
t
(describe ~
22 Other l1abIl1t1es )
i
e
----------------
s 23 Total liabilities (add lines 17 through 22) 0. 0.
Organizations that follow SFAS 117, check here ~~
and complete lines 24 through 26 and lines 30 and 31.
N F 24 Unrestricted 5,212,978. 6,772,502.
e u
t n 25 Temporarily restricted
d 26 Permanently restricted
A
s B Organizations that do not follow SFAS 117, check here
and complete lines 27 through 31.
~L
s a
e I
t a 27 Capital stock, trust principal, or current funds
s n 28 Paid-inor capitalsurplus,or land,building,andequipmentfund
C
o e 29 Retainedearnings, accumulated income,endowment, or otherfunds.
r s 30 Total net assets or fund balances (see 1nstruct1ons) 5,212,978. 6,772,502.
31 Total liabilities and net assets/fund balances
(see 1nstruct1ons) 5,212,978. 6,772,502.
I
[Part lH Analysis of Changes in Net Assets or Fund Balances
1 Total net assets or fund balances at beginning of year - Part 11,column (a), line 30 (must agree with
end-of-year figure reported on prior year's return) 1 5 212 978.
2 Enter amount from Part I, line 27a 2 1,559,524.
3 Otherincreases not includedin line2 (1tem1ze) ~
3
4 Add lines 1, 2, and 3
----------------------------- 4 6,772,502.
5 Decreasesnot includedin line2 (1tem1ze) . ~
5
-----------------------------
6 Total net assets or fund balances at end of year (line 4 minus line 5) - Part II, column (b), line 30 6 6,772,502.
BAA TEEA0302L 09/19/05 Form 990-PF (2005)
Form 990-PF (2005) THE MILSTEINFAMILYFOUNDATION 95-4824595 Page 3
!Part JV l Capital Gains and Losses for Tax on Investment Income
(a) List and describe the k1nd(s) of property sold (e.g., real estate, (b} How acquired (c) Date acquired (d) Date sold
2-story brick warehouse; or common stock, 200 shares MLC Company) P - Purchase (month, day, year) (month, day, year)
D- Donation
.la N/A
b
C
d
e
(e) Gross sales price (f) Oeprec1at1onallowed (g) Cost or other basis (h) Gain or (loss)
(or allowable) plus expense of sale (e) plus (f) minus (g)
a
b
C
d
e
Complete onlv for assets showing gain m column (h) and owned by the foundation on 12/31/69 (I) Gains(Column(h)
(i) Fair Market Value (j) Adjusted basis (k) Excess of column (1) gainminuscolumn(k), butnotless
as of 12/31/69 as of 12/31/69 over column (J), 1f any than-0-) or Losses(fromcolumn(h))
a
b
C
d
e
If gain, also enter In Part I, line 8, column (c) (see instructions) If (loss), enter -0-
In Part I, line 8
]- 3
tPartV l Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.) N/ A
If section 4940(d)(2) applies, leave this part blank.
Was the organization liable for the section 4942 tax on the distributable amount of any year m the base period? Oves
If 'Yes,' the organization does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount In each column for each year; see instructions before making any entries.
3 Average d1stribut1onratio for the 5-year base period - d1v1dethe total on line 2 by 5, or by the
number of years the foundation has been In existence 1f less than 5 years 3
4 Enter the net value of noncharitable-use assets for 2005 from Part X, line 5 4
If line 8 Is equal to or greater than line 7, check the box In Part VI, line lb, and complete that part using a 1% tax rate. See the
Part VI instructions.
BAA Form 990-PF (2005)
TEEA0303L 09/19/05
Form 99O-PF (2005) THE MILSTEIN FAMILY FOUNDATION 95-4824595 Page 4
IPartVJ I Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948 - see instructions)
1 a Exemptoperatingfoundationsdescribed
m section4940(d)(2),checkhere .,. LJandenter'N/ A' on line 1. }
Date of ruling letter. ________ (attach copy of ruling letter if necessary - see instructions)
b Domestic organizations that meet the section 494O(e) requirements In Part V, i---1--+-
_____ 5..,,_0_8"--4-'-.
check here .,. D and enter 1% of Part I, line 27b
c All otherdomestic
organizations
enter2% of lme27b Exempt foreignorganizations
enter4% of PartI, lme12,column(b)
2 Tax under section 511 (domestic section 4947(a)(l) trusts and taxable foundations only. Others enter -0-) 1---2--+________ 0_.
3 Add lines 1 and 2 3 5,084.
4 Subtitle A (income) tax (domestic section 4947(a)(l) trusts and taxable foundations only Others enter -0-) 4 0.
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- 5 5,084.
6 Credits/Payments
a 2005estimatedtaxpmtsand2004overpayment creditedto 2005 6a 3,520.
b Exempt foreign organizations - tax withheld at source 6b
c Tax paid with application for extension of time to file (Form 8868) 6c
d Backup withholding erroneously withheld ~_6_d~--------;
7 Total credits and payments. Add lines 6a through 6d 7 3,520.
8 Enter any penalty for underpayment of estimated tax. Check here D 1fForm 2220 Is attached 8
9 Taxdue If thetotalof Imes5 and8 Is morethanlme7, enteramountowed ... 9 1,564 .
10 Overpayment. If lme7 Is morethanthetotalof Imes5 and8, entertheamountoverpaid ... 10
11 Entertheamounton line 10to be:Creditedto 2006estimatedtax .,. I
Refunded ... 11
!PartVH-AI Statements Reqardinq Activities
Yes No
1 a During the tax year, did the organization attempt to influence any national, state, or local leg1slat1onor did 1t
part1c1pateor intervene In any political campaIgn 7 1a X
b Did11spendmorethan$100duringtheyear(eitherdirectlyor indirectly)for politicalpurposes
(seemstructIons
for defm1t1on)? 1b X
If the answer 1s 'Yes' to 1a or 1b,attach a detailed description of the act1vd1esand copies of any materials publ,shed
or distributed by the organization ,n connection with the act1v1t1es.
c Did the organization file Form 1120-POL for this year? r,-,,~1~c+=~+--X~
d Enter the amount (1f any) of tax on political expenditures (section 4955) imposed during the year
(1) On the organization .,. $ 0. (2) On organization managers .,. $ 0.
e Enter the reimbursement (1fany) paid by the organization during the year for political expenditure tax imposed on
organization managers .,. $ 0.
2 Has the organization engaged in any activ1t1esthat have not previously been reported to the IRS? _2....., ..... -t--X_
If 'Yes,' attach a detailed description of the act1vd1es.
3 Has the organization made any changes, not previously reported to the IRS, In its governing instrument, articles
of incorporation, or bylaws, or other s1m1lar1nstruments7 If 'Yes,' attach a conformed copy of the changes 3 X
4a Did the organization have unrelated business gross income of $1,000 or more during the year? 4a X
b If 'Yes,' has 11filed a tax return on Form 990-T for this year? 4b
5 Wastherea liqu1dalion,
termmatIon,
d1ssolut1on,
or substantial
contraction
duringtheyear7 5 X
If 'Yes,' attach the statement requ,red by General Instruction T.
6 Are the requirements of section 5O8(e) (relating to sections 4941 through 4945) satisfied either:
By language in the governing instrument, or
By state leg1slat1onthat effectively amends the governing instrument so that no mandatory d1rect1onsthat conflict
with the state law remain In the governing instrument? 6 X
7 Didtheorganization haveat least$5,000m assetsat anylimeduringtheyear?If 'Yes,'complete
PartII, column(c), andPartXV 7 X
Ba Enter the states to which the foundation reports or with which 1tIs registered (see 1nstruct1ons) .,.____ _
_ CA___________________________________________________ _
b If theanswerIs 'Yes'to lme7, hastheorganization
furnisheda copyof Form990-PF to theAttorneyGeneral
(or designate)
of eachstateas requiredbyGeneral G?If 'No,'attachexplanation
Instruction Bb X
9 Is theorganization
claimingstatusasa privateoperatingfoundationw1thmthemeaning of section4942(1)(3)
or 4942(1)(5)
for calendar
year2005or
thetaxableyearbegmnmg m 2005(seemstructIonsfor PartXIV)?If 'Yes,'complete
PartXIV 9 X
10 Did any persons become substantial contributors during the tax year? 10 X
If 'Yes,' attach a schedule hstmg their names and addresses. SEE STATEMENT 4
11 Did the organization comply with the public inspection requirements for its annual returns and exemption application? 11 X
Web site address .,.NIA _____________________________________ _
12 Thebooksareincareof .. J3~~J3~---------------------- Telephoneno ... 323 933 9306 __ _
Located at .. 5967 W 3RD ST. #102 LA CA ZIP+ 4.. 90036
13 Section 4947(a)(l) n~~e;e~pt ~h~rrtabl~ i;:u~t; f~~ F~~ 99~-PFi~I~;;-~ Fo-;:-~1041-=:_
Check here - - - - - - - N/A - - .,. LJ-
and enter the amount of tax-exempt interest received or accrued during the year .,.113 N/A I
BAA Form 990-PF (2005)
TEEA0304L 09/19/05
Form 990-PF (2005) THE MILSTEIN FAMILY FOUNDATION 95-4824595 Paqe 5
!PartVH-B IStatements Reaardinq Activities for Which Form 4720 Mav Be Reauired
File Fonn 4720 if any item is checked in the 'Yes' column, unless an exception applies. Yes No
~ a During the year did the organization (either directly or indirectly).
(1) Engage In the sale or exchange, or leasing of property with a d1squalif1edperson? QYes IB)No
(2) Borrow money from, lend money to, or otherwise extend credit to (or accept 1tfrom) a
disqualified person'
(3) Furnish goods, services, or facll1ties to (or accept them from) a d1squalif1edperson?
(4) Pay compensation to, or pay or reimburse the expenses of, a d1squal1f1edperson?
y"1
Yes
Yes
No
No
(5) Transfer any income or assets to a d1squahf1edperson (or make any of either available
for the benefit or use of a d1squalif1edperson)? . QYes IB)No
(6) Agree to pay money or property to a government official? (Exception. Check 'No' 1fthe
organization agreed to make a grant to or to employ the official for a period after term1nat1on
of government service, 1fterminating w1th1n90 days.) QYes IB)No
b If any answer Is 'Yes' to 1a(l)-(6), did any of the acts fall to qualify under the exceptions described in
Regulations section 53.494l(d)-3 or In a current notice regarding disaster assistance (see 1nstruct1ons)' 1b N 'A 1
a At the end of tax year 2005, did the organization have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2005? . QYes IB]No
If 'Yes,' list the years ~ 20_ _ , 20_ _ , 20_ _ , 20__
b Are there any years listed in 2a for which the organization Is not applying the provIsIons of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year's undistributed income? (If applying section 4942(a)(2) lo
all years listed, answer 'No' and attach statement - see instructions.) 2b
c If the provIsIons of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here
~ 20_ _ , 20_ _ , 20_ _ , 20__
3a Did the organization hold more than a 2% direct or 1nd1rectinterest In any business
enterprise at any time during the year? QYes IBJ
No
b If 'Yes,' did 1thave excess business holdings in 2005 as a result of (1) any purchase by the organization
or d1squahf1edpersons after May 26, 1969, (2) the lapse of the 5-year period (or longer period approved
by the Comm1ss1onerunder section 4943(c)(7)) to dispose of holdings acquired by gift or bequest, or
(3) the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to
determine 1f the organization had excess business holdings in 2005.) 3b
4a Did the organization invest during the year any amount In a manner that would Jeopardize its
charitable purposes? 4a X
b Did the organization make any investment In a prior year (but after December 31, 1969) that could
Jeopardize its charitable purpose that had not been removed from Jeopardy before the first day of
the tax year beginning In 20057 4b X
Sa During the year did the organization pay or incur any amount to.
(1) Carry on propaganda, or otherwise attempt to influence leg1slat1on(section 4945(e))? QYes IBJ
No
(2) Influence the outcome of any spec1f1cpublic election (see section 4955), or to carry
on, directly or indirectly, any voter registration drive' BYes ~No
(3) Provide a grant to an 1nd1v1dual for travel, study, or other s1m1larpurposes? Yes No
(4) Provide a grant to an organization other than a charitable, etc, organization described
In section 509(a)(l), (2), or (3), or section 4940(d)(2)? QYes IB)No
(5) Provide for any purpose other than religious, charitable, sc1enl1f1c,literary, or
educational purposes, or for the prevention of cruelly to children or animals? QYes IBJ
No
b If any answer Is 'Yes' to 5a(l)-(5), did any of the transactions fall to qualify under the exceptions
described in Regulations section 53.4945 or in a current notice regarding disaster assistance
(see 1nstruct1ons)? Sb N11A
Organizations relying on a current notice regarding disaster assistance check here
c If the answer Is 'Yes' to question 5a(4), does the organization claim exemption from the
lax because 1tmaintained expenditure respons1b1l1tyfor the grant? N/A QYes QNo
If 'Yes,' attach the statement requ,red by Regulations section 53.4945-S(d).
Ga Did the organization, during the year, receive any funds, directly or indirectly, to pay premiums
on a personal benefit contract? QYes IB]No
b Did the organization, during the year, pay premiums, directly or 1nd1rectly,on a personal benefit contract? Gb X
If vou answered 'Yes' to 6b, also ftle Form 8870.
BAA TEEA0305L 09/19/05 Form 990-PF (2005)
Form 990-PF (2005 THE MILSTEIN FAMILY FOUNDATION 95-4824595 Pa e 6
Part VHI Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
:i List all officers, directors, trustees, foundation manaaers and their comoensation (see instructions).
(b) Title and average (c) Compensation (d) Contributions to (e) Expense account,
(a) Name and address hours per week (If not paid, enter -0-) employee benefit other allowances
devoted to position plans and deferred
compensation
------------------------
SEE STATEMENT 5 0. 0. 0.
------------------------
------------------------
------------------------
2 Compensa f10n off 1ve h"IQhest-oa1"demp oyees (0 th ert hant hose me Iuded on rme 1- see instructions ) . If none, enter 'NONE'
(a) Name and address of each employee (b) Title and average (c) Compensation (d) Contributions to (e) Expense account,
paid more than $50,000 hours per week employee benefit other allowances
devoted to pos1t1on plans and deferred
compensation
NONE
------------------------
------------------------
------------------------
------------------------
------------------------
Total number of other employees paid over $50,000 ...
3 Five hiqhest-paid independent contractors for professional services - <see instructions). If none, enter 'NONE.'
(a) Name and address of each person paid more than $50,000 (b) Tvpe of service (c) Comoensation
NONE __________________________________
--------------------------------------
--------------------------------------
--------------------------------------
--------------------------------------
Total number of others rece1v1naover $50,000 for professional services. ...
!Part lXA ISummary of Direct Charitable Activities
List thefoundation's
fourlargestdirectcharitable
act1v1t1es
duringthetaxyear.Includerelevantstat1st1cal
mformallon
suchasthenumberof
Expenses
organizations
andotherbenef1c1ar1esserved,conferences
convened,research
papersproduced, etc
1 N/A __________________________________________________ _
1 Fair market value of assets not used (or held for use) directly 1ncarrying out charitable, etc, purposes:
a Average monthly fair market value of securities 1a 5,831,500.
b Average of monthly cash balances 1b 42,600.
c Fair market value of all other assets (see instructions) 1c 500,000.
d Total (add lines la, band c) 1d 6,374,100.
e Reduction claimed for blockage or other factors reported on lines 1a and 1c
(attach detailed explanation) 1e 0.
2 Acqu1s1t1onindebtedness applicable to line 1 assets 2 0.
3 Subtract line 2 from hne l d 3 6,374,100.
4 Cash deemed held for charitable activ1t1es.Enter l -l /2% of line 3 (for greater amount, see instructions) 4 95,612.
5 Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4 5 6,278,488.
6 Minimum investment return. Enter 5% of line 5. 6 313,924.
PartXI Distributable Amount (see instructions) (Section 49420)(3) and 0)(5) private operating foundations and certain
TEEA0307L 11/07/05
Form 990-PF (2005) THE MILSTEIN FAMILY FOUNDATION 95-4824595 Page 8
TEEA0308L 09/19/05
Form 990-PF (2005) THEMILSTEINFAMILYFOUNDATION 95-4824595 Paqe 9
!PanXIV l Private Operating Foundations (see instructions and Part VII-A, question 9) N/A
1 a If the foundation has received a ruling or delerm1nal1on letter that 11Is a private operating foundation, and the ruling
Is effective for 2005, enter the dale of the ruling . ...
b Check box lo 1nd1calewhether the organization Is a private operating foundation described In section n 4942())(3) or I 4942CJ)C5)
2a Enter the lesser of the adiusled net Tax year Prior 3 years
income from Part I or the minimum (a) 2005 (b)2004 (c) 2003
investment return from Part X for (d) 2002 (e) Total
each year listed
b 85% of line 2a
c Qualifying distributions from Part XII,
line 4 for each year listed
d Amountsincludedm line 2c not useddirectly
for activeconductof exemptacllvItIes
e Qualifying d1stribut1ons made directly
for active conduct of exempt act1v1t1es.
Subtract line 2d from line 2c
3 Complete 3a, b, or c for the
alternative test relied upon
a 'Assets' alternative test - enter
(1) Value of all assets
(2) Value of assets qualifying under
section 4942())(3)(8)(1)
b 'Endowment' alternativetest- Enter2/3 of
minimuminvestment returnshownm PartX,
line 6 for eachyearlisted
c 'Support' alternative lest - enter.
(1) Total support other than gross
investment income (interest,
dIvIdends, rents, pa~ments
on securities loans section
512(a)(5)), or royalties)
a List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation before the
close of any tax year (but only 1fthey have contributed more than $5,000). (See section 507(d)(2).)
NONE
b List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the ownership of
a partnership or other entity) of which the foundation has a 10% or greater interest.
NONE
2 Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc, Programs:
Check here ~ [R]1fthe organization only makes contributions to preselected charitable organizations and does not accept unsolicited
requests for funds. If the organization makes gifts, grants, etc, (see 1nslruct1ons) to 1nd1v1dualsor organizations under other cond1t1ons,
complete items 2a, b, c, and d.
a The name, address, and telephone number of the person to whom applications should be addressed.
b The form In which applications should be submitted and 1nformat1onand materials they should include.
d Any restrictions or lim1tat1onson awards, such as by geographical areas, charitable fields, kinds of 1nslilul1ons, or other factors.
Total
... 3a 263,300 .
b Approved for future payment
Total
... 3b
BAA TEEA03 I 0L 09/19105 Form 990-PF (2005)
Form 990-PF (2005) THE MILSTEIN FAMILY FOUNDATION 95-4824595 Page 11
d
e
t
g Fees and contracts from government agencies
2 Membership dues and assessments
3 Intereston savingsandtemporarycashinvestments 57. 741.
4 D1v1dends and interest from securities 199.920.
5 Net rental income or (loss) from real estate:
a Debt-financed property
b Not debt-financed property
6 Netrentalincomeor (loss)from personalproperty
7 Other investment income
8 Gainor (loss)from salesof assetsotherthaninventory
9 Net income or (loss) from special events
10 Gross profit or (loss) from sales of inventory
11 Other revenue:
a
b
C
d
e
12 Subtotal. Add columns (b), (d), and (e) 257,661.
13 Total. Add line 12, columns (b), (d), and (e) 13 257,661.
(See worksheet In the Instruct1ons for line 13 to verify calculations.)
d If the answer to any of the above 1s 'Yes,' complete the following schedule. Column (b) should always show the fair market value of
the ~oods, other assets, or services given by the re~ortin(drganization. If the or~anizat1on received less than fair market value 1n
any ransact1on or sharing arrangement, show 1nco umn the value of the goo s, other assets, or services received.
(a) Lineno. (b) Amountinvolved (c) Nameof noncharitable
exemptorganization (d) Description
of transfers,transact10ns,
andsharingarrangements
N/A
2a Is the organization directly or 1nd1rectlyaffiliated with, or related to, one or more tax-exempt organizations
described in section 501 (c) of the Code (other than section 501 (c)(3)) or 1nsection 527 7 OYes IK]No
b If 'Yes,' complete the following schedule.
(a) Name of orqanizat1on (b) Type of orqanization (c) Description of relationship
N/A
Under penalties of ceq 1 declare that I have examined this re1~~dudmg accompanying schedules and statements, and to the best of my knowledge and belief, 1tIS true, correct, and
complete Declarat1 of preparer (other than taxpa. er or f1d~) 1s based on all information of which preparer has any knowledge
EIN .. ..95-4809947
Only employed), 5967 WEST THIRD STREET #102'
address, and
ZIP code LOS ANGELES, CA 90036 Phone no .. (323) 933-9306
BAA Form 990-PF (2005)
TEEA0502L 09/19/05
0MB No I 545 0047
Schedule B
(Fonn 990, 990-EZ,
or 990-PF) Schedule of Contributors
Department of the Treasury
lnlernal Revenue Service
Supplementary Information for
line 1 of Fonn 990, 990-EZ and 990-PF (see instructions)
2005
Name of organ1zabon Employer 1den1Jlica1Jonnumber
THEMILSTEINFAMILYFOUNDATION 95-4824595
Organization type (check one).
Filers of: Section:
Form 990 or 990-EZ
Form 990-PF
Check 1fyour organization Is covered by the General Rule or a Special Rule. (Note: Only a section 501(c)(1), (8), or (10) organization can check
boxes for both the General Rule and a Special Rule - see mstruct1ons.)
General Rule -
IBJ
For organizations filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (1nmoney or property) from any one
contributor. (Complete Parts I and II.)
Special Rules -
D For a section 501(c)(3) organization filing Form 990, or Form 990-EZ, that met the 33-1/3% support test under Regulations sections
1.509(a)-3/l. l 70A-9(e) and received from any one contributor, during the year, a contribution of the greater of $5,000 or 2% of the amount
on line 1 of these forms (Complete Parts I and II.)
OFor a section 50l(c)(7), (8), or (10) organization filing Form 990, or Form 990-EZ, that received from any one contributor, during the year,
aggregate contributions or bequests of more than $1,000 for use exclusively for religious, charitable, sc1ent1f1c,literary, or educational
purposes, or the prevention of cruelty to children or animals. (Complete Parts I, II, and Ill.)
OFor a section 501(c)(7), (8), or (10) organization filing Form 990, or Form 990-EZ, that received from any one contributor, during the year,
some contributions for use exclusively for religious, charitable, etc, purposes, but these contributions did not aggregate to more than
$1,000. (If this box Is checked, enter here the total contributions that were received during the year for an exclusively relIgIous, charitable,
etc, purpose. Do not complete any of the Parts unless the General Rule applies to this organization because 1treceived nonexclus1vely
religious, charitable, etc, contributions of $5,000 or more during the year.) ~ $ ________ _
Caution: Organizations that are not covered by the General Rule and/or the Special Rules do not file Schedule B (Form 990, 990-EZ, or
990-PF) but they must check the box ,n the head mg of their Form 990, Form 990-EZ, or on /me 2 of their Form 990-PF, to certify that they do
not meet the fllmg reqwrements of Schedule B (Form 990, 990-EZ, or 990-PF).
BAA For Paperwork Reduction Act Notice, see the Instructions Schedule B (Form 990, 990-EZ, or 990-PF) (2005)
for Form 990, Form 990-EZ, and Form 990-PF.
TEEA070I L 02/01/06
Schedule B (Form 990, 990-EZ, or 990-PF (2005 of 1 of Part I
Name ol organ,zat,on Employer 1dentol1catoonnumber
~
_TUVIA & GILA MILSTEIN _____________________
--1 Person
Payroll
_160 2 7_ VENTURABLVD________________________ $--- 1,050,000. Noncash
(Complete Part 111fthere
J:NCINO, CA_91436, _________________________ 1s a noncash contribution.)
~
--2 MERAVMILSTEIN
~------------------------------------- Person
Payroll
J6027_ VENTURABLVD________________________ $----- 90,000. Noncash
(Complete Part 111fthere
~ENCINO, CA_91436, _________________________ 1s a noncash contnbut1on.)
~
--3 LYRONMILSTEIN
~------------------------------------- Person
Payroll
J6027_ VENTURABLVD________________________ $----- 90,000. Noncash
(Complete Part II 1fthere
~ENCINO, CA_91436, _________________________ 1sa noncash contribution )
~
~~'I_IE MILSTEIN _________________________
--4
Person
Payroll
16027 VENTURABLVD $----- 90,000. Noncash
--------------------------------------
(Complete Part 111fthere
J:~CINO, CA_91436, _________________________ 1s a noncash contribution )
~
--5 PACIFIC WEST MANAGEMENT Person
-------------------------------------- Payroll
16027 VENTURABLVD $_____ 250, 000. Noncash
~-------------------------------------
(Complete Part II 1fthere
J:NCINO, CA_91436, _________________________ 1sa noncash contribution.)
-- --------------------------------------
-------------------------------------- $-----------
Person
Payroll
Noncash
(Complete Part II 1fthere
1s a noncash contribution.)
--------------------------------------
BAA TEEA0702L 08108105 Schedule B (Form 990, 990-EZ, or 990-PF) (2005)
2005 FEDERAL
STATEMENTS PAGE1
THE MILSTEIN FAMILY FOUNDATION 95-4824595
STATEMENT 1
FORM 990-PF, PART I, LINE 16C
OTHER PROFESSIONAL FEES
STATEMENT 2
FORM 990-PF, PART I, LINE 18
TAXES
STATEMENT 3
FORM 990-PF, PART I, LINE 23
OTHER EXPENSES
STATEMENT4
FORM 990-PF, PART VII-A, LINE 10
SUBSTANTIAL CONTRIBUTORS DURING THE TAX YEAR
....,_NAME...._.."------"'O.,,__F__,S"""U""'B"""ST.,,_,AN~T'""'I._.,AL.._____,,C=O=NT"'"'R=I=B"""U""""TO,,,_
ADDRESS OF SUBSTANTIAL CONTRIBUTOR
SEE SCHEDULE
B
2005 FEDERAL
STATEMENTS PAGE2
THE MILSTEIN FAMILY FOUNDATION 95-4824595
STATEMENT 5
FORM 990-PF, PART VIII, LINE 1
LIST OF OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES
STATEMENTG
FORM 990-PF, PART XV, LINE 3A
RECIPIENT PAID DURING THE YEAR
FOUND-
DONEE ATION PURPOSEOF
NAMEANDADDRESS RELATIONSHIP STATUS GRANT AMOUNT
MESIVTAOF GREATER
LOS ANGELENOTAN GENERAL
USE $ 5,000.
LOS ANGELES,CA, INDIVIDUAL
JEWISHHEALTHCARE NOTAN
FOUNDATION GENERAL
USE 10,000.
LOS ANGELES,CA, INDIVIDUAL
CHILDRENS
HOSPITALOF LA NOTAN GENERAL
USE 1,000.
LOS ANGELES,CA, INDIVIDUAL
HOMESAFE NOTAN GENERAL
USE 2,500.
LOS ANGELES,CA, INDIVIDUAL
P.S. ARTS NOTAN GENERAL
USE 2,500.
LOS ANGELES,CA, INDIVIDUAL
RUSKINARTCLUB NOTAN GENERAL
USE 500.
LOS ANGELES,CA, INDIVIDUAL
STANDWITHUS NOTAN GENERAL
USE 18,000.
LOS ANGELES,CA, INDIVIDUAL
ANSHIECHAYIL NOTAN GENERAL
USE 40,000.
LOS ANGELES, INDIVIDUAL
CHABADISRAELHOUSE NOTAN GENERAL
USE 33,000.
LOS ANGELES,CA, INDIVIDUAL
PEYLIMLEV L'ACHIM NOTAN GENERAL
USE 12,000.
LOS ANGELES,CA, INDIVIDUAL
2005 FEDERAL
STATEMENTS PAGE3
THE MILSTEIN FAMILY FOUNDATION 95-4824595
STATEMENT 6 (CONTINUED)
FORM 990-PF, PART XV, LINE 3A
RECIPIENT PAID DURING THE YEAR
FOUND-
DONEE ATION PURPOSEOF
NAME ANDADDRESS RELATIONSHIP STATUS GRANT AMOUNT
AISH HA TORAH NOTAN GENERAL
USE $ 64,000.
LOS ANGELES,CA, INDIVIDUAL
ASHREINUJEWISHEDUCATION
NET NOTAN GENERAL
USE 5,000.
LOS ANGELES,CA, INDIVIDUAL
EZERMIZION NOTAN GENERAL
USE 10,000.
LOS ANGELES,CA, INDIVIDUAL
CHABAD
OF STANFORD NOTAN GENERAL
USE 10,000.
PALOALTO, CA, INDIVIDUAL
ONEFAMILY NOTAN GENERAL
USE 5,000.
LOS ANGELES,CA, INDIVIDUAL
TZEDAKAFUND NOTAN GENERAL
USE 1,800.
LOS ANGELES,CA, INDIVIDUAL
OHRELIYAHOACADEMY NOTAN GENERAL
USE 18,000.
LOS ANGELES,CA, INDIVIDUAL
HASBARAFELLOWSHIP NOTAN GENERAL
USE 25,000.
LOS ANGELES,CA, INDIVIDUAL
TOTAL$ 263!300.
2005 FEDERAL SUPPORTING DETAIL PAGE1
THE MILSTEIN FAMILY FOUNDATION 95-4824595
BALANCE SHEET
CORPORATE STOCK (FORM 990-PF)[O]
UNIONBANKINVESTMENTS $ 314551801.
TOTAL$ 3,455,801.
BALANCE SHEET
CORPORATE BONDS (FORM 990-PF)[O]
ML SERN $ 7091934.
TOTAL$ 709,934.
BALANCE SHEET
MORTGAGE LOANS (FORM 990-PF)[O]
BALANCE SHEET
OTHER (FORM 990-PF)[O]
BERNSTEINHEDGEFUNDS $ 5001105.
TOTAL$ 5001105.
BALANCE SHEET
CORPORATE STOCK (FORM 990-PF)[O]
UNIONBANKINVESTMENTS $ 414741117.
TOTAL$ 4,474,117.
BALANCE SHEET
CORPORATE BONDS (FORM 990-PF)[O]
ML STERN $ 7591752.
TOTAL$ 759,752.
BALANCE SHEET
MORTGAGE LOANS (FORM 990-PF)[O]
BALANCE SHEET
OTHER (FORM 990-PF)[O]
UNIONBANKINVESTMENTS $ 418321042.
TOTAL$ 4!832,042.
ML STERN $ 760,906.
TOTAL$ 760,906.